Access to the Centre(s) during Muharram

Contact Details

Full Name*

Email Address*

Contact Number*

Age*

We strongly recommend attendees be between the ages of 15 and 70. If you fall outside of this range, by completing this form you understand that there is added risk in your attendance.

Gender*

Male
Female

Event Registration

Date of attendance*

Select the time slot that you'll be at the centre*

Centre*

Jaffari Community Centre
Masumeen Islamic Centre
Razavi Community Centre

Reason for attendance:*

Risk Assessment

1. Do you currently have any of the following symptoms? (Fever, Headache, Cough, Difficulty Breathing, Difficulty Swallowing, Runny nose, Loss of Taste/Smell, Nausea, Vomiting, Diarrhea, Not feeing well or sore muscles)*

Yes
No

2. Have you travelled outside of Canada in the past 14 days?*

Yes
No

3. Have you been exposed to anyone who has tested positive for COVID 19 without using appropriate PPE in the past 14 days?*

Yes
No

For your safety and for the safety of our community, you are not eligible to attend centre. Please connect to the live streaming of our events at: Jaffari.org/live

Please confirm that you agree to all of the following:*

1. I will wear a mask at all times while on the premises (if I am not alone)
2. I will perform wudu at home and will not attempt to access washrooms or wudu areas at the mosque
3. I will sanitize my hands upon entering the mosque
4. I will maintain 2 metre distance from others at all times
5. I will respect the request of the volunteers and staff at the mosque at all times

I agree

Please confirm the following:*

I understand that while safety of the community of utmost priority, there is still some risk present with visiting the centre. Each individual bears responsibility for their own actions and the ISIJ of Toronto will not be held liable for any complications arising from my visit to the centre.

I agree

Please confirm the following:*

I understand that the ISIJ of Toronto Secretariat will collect and retain my contact information in case public health officials require it for contact tracing purposes. Information will not shared with third parties.

I agree

CAPTCHA

Access to the Centre(s) during Muharram

Contact Details

Event Registration

Risk Assessment

Imam Zainul Abideen (a)

Imam Hassan Ibn Ali (a)

Imam Husayn (a)